HomeMy WebLinkAbout233 Long Hill Road11,APPLICATION FOR BUILDING PERMITElectric#
Plumbing# Date:
HVAC # 2 3 3 Lone Hill Road
Sprinkler# 29311 a
FINALrLrl--R S Estimated Cost $(P 200
Buildin JV COMPLETE RED BOXED AREAS
Permit Fee
En neOccupancy Fee $
TYPE OR PRINT ONLY Eng. Insp. Fee $Affidavit SIGN ON REVERSE SIDE / dvAppr. for CO.Total Fee O S
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant h Location of WorkQ 3 3 L 7L//,// J2 c1 - Lot No.
Applicant's Address 7 9 n I d d_ Tel.#
Town J o Co - Zip Q G c>7 y Lic.#
Owner K- a V— - Architect
Owner's Addres 6 Architect's Address
v1-- Zip n(, -7 Zip
Sq. Ft. New Area: 1st FI.2nd FI. 3rd FI. Total New Area
Purpose of this permit Re- - 5'd P7 n M e w v•.. / v e,r- 1r-,,,,
4 t2,n4 ,. I^%-
City Water Well Septic System Sewer
Ins: HO SP Cert. Area Basement Garage.
Approved by Date f Use Group -- Construction Type
Revised W02
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in this building and its is allowed.
Signed
I hereby apply for a Certificate of Occ ncy for the work d in this application for the permit.
Signed
DO NOT ITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
29311-B 6,800
B10 FINAL 01/16/03 JFF A